Individual
MARY MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
105 RAVALLI ST, STEVENSVILLE, MT 59870-2437
(406) 369-0735
Mailing address
PO BOX 159, VICTOR, MT 59875-0159
(406) 369-0735
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/01/2009
Last updated
09/01/2009
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